A client diagnosed with generalized anxiety states, I know the best thing for me to do now is to just forget my worries. How should the nurse evaluate this statement?

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Question 1 of 4

A client diagnosed with generalized anxiety states, I know the best thing for me to do now is to just forget my worries. How should the nurse evaluate this statement?

Correct Answer: C

Rationale: The nurse should evaluate this statement as the client having a distorted perception of problem resolution. Generalized anxiety involves excessive worry and difficulty controlling that worry. Merely trying to forget worries is not an effective coping strategy or a realistic approach to managing anxiety. It is important for the nurse to address this perception with the client and work together to develop more effective coping mechanisms that address the root of the worries rather than just attempting to forget them.

Question 2 of 4

A nursing instructor is teaching about the etiology of dissociative disorders from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?

Correct Answer: A

Rationale: The student statement that best indicates learning has occurred is option A, "Dissociative behaviors occur when individuals repress distressing mental information from their conscious awareness." This statement reflects an understanding of the psychoanalytical perspective on dissociative disorders, which suggests that these disorders result from the defense mechanism of repression. Repression involves pushing distressing thoughts, memories, or feelings into the unconscious mind to avoid conscious awareness of them. By recognizing this aspect of dissociative disorders, the student demonstrates an understanding of the underlying mechanism from a psychoanalytical perspective.

Question 3 of 4

Which should the nurse recognize as an example of localized amnesia?

Correct Answer: B

Rationale: Localized amnesia refers to the inability to recall specific events or details within a certain time period, often due to a stressful or traumatic event. In option B, the client can relate family memories but has no recollection of a particular brother, which demonstrates a form of localized amnesia. This indicates a selective memory loss for a specific person, unlike the other options which involve broader memory issues or generalized amnesia.

Question 4 of 4

Which of the following somatic symptom and dissociative disorders are identified with known effective pharmacological treatments for that disorder? Select all that apply.

Correct Answer: A

Rationale: A. Antidepressants have been used effectively in treating pain associated with somatic symptom disorder. This is a correct statement. The use of antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants, has been shown to be effective in managing the pain symptoms experienced by individuals with somatic symptom disorder. These medications can help alleviate both physical pain and any associated psychological distress.

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